Electrocardiographic changes in stroke patients without primary heart disease
(1994) In Clinical Physiology 14(2). p.223-231- Abstract
- Consecutive electrocardiograms were recorded in 28 stroke patients without signs of primary heart disease. Individuals with subarachnoidal haemorrhage, or electrolyte disturbances were excluded. A computerized tomography of the brain was performed in each case and showed a cerebral haemorrhage (n = 4), cortical infarction (n = 6), subcortical infarction (n = 14) and normal finding (n = 4). One patient developed atrial fibrillation but no other case of serious disturbances in rate of rhythm occurred. None developed AV block, bundle branch blocks or significant changes in QRS complexes. The most common abnormalities in ECG were transient STT changes in lateral leads, which were seen in 13 cases. The typical findings were flat or slightly... (More)
- Consecutive electrocardiograms were recorded in 28 stroke patients without signs of primary heart disease. Individuals with subarachnoidal haemorrhage, or electrolyte disturbances were excluded. A computerized tomography of the brain was performed in each case and showed a cerebral haemorrhage (n = 4), cortical infarction (n = 6), subcortical infarction (n = 14) and normal finding (n = 4). One patient developed atrial fibrillation but no other case of serious disturbances in rate of rhythm occurred. None developed AV block, bundle branch blocks or significant changes in QRS complexes. The most common abnormalities in ECG were transient STT changes in lateral leads, which were seen in 13 cases. The typical findings were flat or slightly negative T waves, horizontal or down-sloping ST segments and sometimes a small ST depression. In no case did ECG show typical signs of acute myocardial infarction. A transient prolonged QT interval was seen in three patients and transient U waves in four. ECG did not correlate to the location of the vascular lesion seen on CT or the clinical outcome. It is concluded that STT changes of a small magnitude are seen in about half of the cases of stroke patients without primary heart disease and that they do not resemble the typical pattern of acute myocardial ischaemia. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1108224
- author
- Lindgren, Arne LU ; Wohlfart, Björn LU ; Pahlm, Olle LU and Johansson, Barbro LU
- organization
- publishing date
- 1994
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Clinical Physiology
- volume
- 14
- issue
- 2
- pages
- 223 - 231
- publisher
- John Wiley & Sons Inc.
- external identifiers
-
- pmid:8205753
- scopus:0028343907
- ISSN
- 1365-2281
- language
- English
- LU publication?
- yes
- id
- 27bf4165-b1f8-4d1f-a786-6f0f35e2b293 (old id 1108224)
- date added to LUP
- 2016-04-01 12:34:50
- date last changed
- 2021-01-03 10:21:04
@article{27bf4165-b1f8-4d1f-a786-6f0f35e2b293,
abstract = {{Consecutive electrocardiograms were recorded in 28 stroke patients without signs of primary heart disease. Individuals with subarachnoidal haemorrhage, or electrolyte disturbances were excluded. A computerized tomography of the brain was performed in each case and showed a cerebral haemorrhage (n = 4), cortical infarction (n = 6), subcortical infarction (n = 14) and normal finding (n = 4). One patient developed atrial fibrillation but no other case of serious disturbances in rate of rhythm occurred. None developed AV block, bundle branch blocks or significant changes in QRS complexes. The most common abnormalities in ECG were transient STT changes in lateral leads, which were seen in 13 cases. The typical findings were flat or slightly negative T waves, horizontal or down-sloping ST segments and sometimes a small ST depression. In no case did ECG show typical signs of acute myocardial infarction. A transient prolonged QT interval was seen in three patients and transient U waves in four. ECG did not correlate to the location of the vascular lesion seen on CT or the clinical outcome. It is concluded that STT changes of a small magnitude are seen in about half of the cases of stroke patients without primary heart disease and that they do not resemble the typical pattern of acute myocardial ischaemia.}},
author = {{Lindgren, Arne and Wohlfart, Björn and Pahlm, Olle and Johansson, Barbro}},
issn = {{1365-2281}},
language = {{eng}},
number = {{2}},
pages = {{223--231}},
publisher = {{John Wiley & Sons Inc.}},
series = {{Clinical Physiology}},
title = {{Electrocardiographic changes in stroke patients without primary heart disease}},
volume = {{14}},
year = {{1994}},
}